Coming up on today's show.

There's this multi-year progression of metabolic dysfunction that accumulates over time.

Once you actually get the full-fledged diagnosis of something like type you diabetes,

which is kind of like the behemoth in the room that you progress towards when you think about

metabolic health, despite throwing weight loss at it, despite throwing changes in diet,

medications, you can achieve something called remission.

But a lot of people

don't actually achieve what is arguably the same metabolic health as someone who has not

accumulate that damage over time. What you should learn from that is that you should do something

now to improve your overall health. The day for action was yesterday, but every day you do

improve metabolic health is a day earned because it is meaningful

to do it earlier rather than later. In the literature, it's very clear that low carbohydrate is

one lever to pull, meaning just reducing carbohydrates lower than the average intake, essentially

less than 130 grams per day, can be very powerful therapeutic tool. It's used therapeutically

in pre-diabetes,

obesity, and a number of other contexts. But when you really see a reliable improvement,

it's usually because they went to the ketogenic diet spectrum. At least from the literature I have

seen over the last 15 years on the ketogenic diet and or low carbohydrate diets, the ketogenic

diet is a much more reliable way to induce the therapeutic

benefits people think they're going to achieve when they lower carbohydrates.

Andrew, when you see somebody's metabolic health begin to decline, what are the biggest

factors that are usually at play there? Really depends on the person in their situation.

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